Questionaire Dawg Days Acres : Official Website


	Today is Wednesday 10th of March 2010

Please fill in all information requested below. All fields marked with (*) are required.

*Name:
*Address 1:
Address 2:
*City:
*State:
*Zip:

*Phone:
Office:
Fax:
*Email:

Questions

1. Is there anyone home during the day?	YES NO
2. Are there children in the home?	YES NO
Number: Ages:
3. Are there any pets in the home now?	YES NO
# Dogs: Sex : Altered : Breed :
4. What breeds of dogs have you had in the past?
5. Do you have a fenced in yard? (invisible fencing is not considered a fenced in yard)	YES NO
6. Where will the puppy stay during the day and sleep at night?
7. Would you mind my visiting your home?	YES NO
8. Are you willing to obedience train your puppy?	YES NO
9. Are you interested in: Show/Breeding puppy	YES NO
10. Are you willing to follow breeder's recommendations for diet, vaccinations and health care?	YES NO
11. Local veterinarian's name, address and phone number for a reference.
12. Who referred you to me?
13. Additional comments that would help in selecting the best puppy for your lifestyle.

Copyright Dawg Days Acres
2827 Limekiln Road
Birdsboro, Pennsylvania 19508
Ph. 610-582-0711

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